NCLEX-RN

NCLEX-RN Review Study Guide

49. A patient who is dying of cancer tells God that if she can live until her granddaughter is born in three months, she will accept her diagnosis and accept God into her heart. Which stage of Kubler Ross’s stages of dying is she exhibiting? a. Anger b. Bargaining c. Acceptance d. Depression 50. A post op patient is on a PCA pump with morphine. You come in to check on the patient and she complains to you. “I keep pushing the button, but I am not getting any relief at all!” What is your first action? a. Turn up the dose of the morphine b. Decrease the lockout time for morphine administrations c. Make sure the pump is set correctly and working correctly d. Call the doctor 51. What is the rationale for alternating doses of opiate pain reliever with NSAIDs in a patient with pain? a. Decrease the amount of opiate needed to reduce the patient’s pain b. Potentiate the effects of the opiate c. Decrease side effects of the opiate d. Increase pain relief 52. Who was the nurse theorist who believed in culturally competent care? a. Madeline Leninger b. Dorothea Orem c. Clara Barton d. Martha Rogers

53. Which of the following patients would be most likely to suffer from impotence? a. A patient with hypertension b. A patient with diabetes mellitus c. A patient with Sickle cell anemia d. A patient with seizure disorder 54. An adolescent female relates that she only uses condoms during her menses. An appropriate nursing diagnosis for this patient would be: a. Fear b. Anxiety c. Knowledge deficit d. Impaired memory 55. Which of the following tests assesses vision? a. Rinne b. Weber c. Snellen d. Baxter 56. The parents of a child with a new tracheostomy refuse to give tracheostomy care. What would the nurse’s first action be? a. Try to assess why the parents won’t perform this care b. Insist that the parents perform this care for their child c. Ask the parents if they prefer the nurse to perform this task d. Tell the parents that if they don’t perform this task, the child is at high risk of developing an infection and respiratory difficulty

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